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Università della Svizzera italiana

Regional public health care spending in Switzerland : an empirical analysis

Crivelli, Luca ; Filippini, Massimo

In this study we attempt to explain variations across the Swiss regional states (cantons) in public health care expenditures. The large autonomy of the cantons in the organization and financing of health care services creates strong heterogeneity. Per capita public expenditures in health care are assumed to depend on the median tax share, intergovernmental grants, and some structural factors. The...

Università della Svizzera italiana

Federalism and regional health care expenditures : an empirical analysis for the Swiss cantons

Crivelli, Luca ; Filippini, Massimo ; Mosca, Ilaria

Switzerland (7.2 million inhabitants) is a federal state composed of 26 cantons. Article 3 of the Federal Constitution grants ample autonomy to individual cantons in those sectors that are not directly regulated by the Constitution, among others health and social care. The autonomy of cantons creates strong heterogeneity in terms of regulatory systems and the organization of health care services....